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GLAZAR MEDICAL PA NPI 1376542563


NPI Information

NPI: 1376542563
Provider Name: GLAZAR MEDICAL PA

Doing Business As: ADVANCED FOOT CARE

Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 45D2285550

Address:
1635 N LEE TREVINO DR
STE C
EL PASO, TX
ZIP 79936
Phone: (915) 593-3668
Get Directions

GLAZAR MEDICAL PA is a podiatrist in El Paso, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GLAZAR MEDICAL PA NPI is 1376542563. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Foot Care.

The provider's business location address is:

1635 N LEE TREVINO DR
STE C
EL PASO, TX
ZIP 79936-175
Phone: (915) 593-3668
Fax: (915) 593-5010

The provider's authorized official is Gabriel Lazar .
The authorized official title is Owner and has the following contact phone number (915) 593-3668.

The CLIA number assigned to this NPI record is 45D2285550 - other - clinical research facilit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 12/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist1228TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10091MDOTHERTEXASBC/BS
25298940001MEDICARE NSCTEXAS
3U23567MEDICARE UPIN
400304YMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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